AWE Kualawaache Care Center

Detailed report on the nursing home located in Crow Agency, Montana (MT).

AWE Kualawaache Care Center is a small, non-profit, nursing home with 40 beds based at 10131 S Heritage Road in Crow Agency, MT.
The facility has 29 residents indicating 73% of its beds are occupied, which is about average within this state.
The provider participates in the medicare & medicaid programs and provides resident counseling services.
The home is not located in a hospital or continuing care retirement community and is partially sprinklered.

On a state level,
the number of registered nurse hours per resident per day is lower than average.
Certified nursing assistant hours per resident per day is average.
The number of licensed practical or vocational nurse hours per resident per day is much higher than average.
Licensed staff hours per resident per day is average.

When compared to other nursing homes in the state, it is less likely for
long-stay residents to be given a pneumococcal vaccination.

04/19/2006 - Fire Alarm Systems

an approved installation, maintenance and testing program for fire alarm systems.

Found Via:

Survey

Scope:

Pattern

Level of Harm:

Potential for minimal harm

Date Found:

04/19/2006

Date Fixed:

04/25/2006

04/19/2006 - Automatic Sprinkler Systems

Type:

Fire Safety

Category:

Automatic Sprinkler Systems

Issue:

automatic sprinkler systems that have been maintained in working order.

Found Via:

Survey

Scope:

Widespread

Level of Harm:

Potential for minimal harm

Date Found:

04/19/2006

Date Fixed:

06/16/2006

04/19/2006 - Automatic Sprinkler Systems

Type:

Fire Safety

Category:

Automatic Sprinkler Systems

Issue:

have an adequate water supply for the sprinkler system.

Found Via:

Survey

Scope:

Widespread

Level of Harm:

Potential for minimal harm

Date Found:

04/19/2006

Date Fixed:

06/16/2006

04/19/2006 - Automatic Sprinkler Systems

Type:

Fire Safety

Category:

Automatic Sprinkler Systems

Issue:

portable fire extinguishers.

Found Via:

Survey

Scope:

Pattern

Level of Harm:

Potential for minimal harm

Date Found:

04/19/2006

Date Fixed:

04/25/2006

04/19/2006 - Furnishings and Decorations

Type:

Fire Safety

Category:

Furnishings and Decorations

Issue:

exits that are free from obstructions and can be used at all times.

Found Via:

Survey

Scope:

Pattern

Level of Harm:

Minimal harm or potential for actual harm

Date Found:

04/19/2006

Date Fixed:

05/12/2006

04/19/2006 - Furnishings and Decorations

Type:

Fire Safety

Category:

Furnishings and Decorations

Issue:

restrictions on the use of flammable curtains.

Found Via:

Survey

Scope:

Widespread

Level of Harm:

Minimal harm or potential for actual harm

Date Found:

04/19/2006

Date Fixed:

04/27/2006

04/19/2006 - Medical Gases and Anesthetizing Areas

Type:

Fire Safety

Category:

Medical Gases and Anesthetizing Areas

Issue:

proper medical gas storage and administration areas.

Found Via:

Survey

Scope:

Isolated

Level of Harm:

Minimal harm or potential for actual harm

Date Found:

04/19/2006

Date Fixed:

05/05/2006

04/19/2006 - Medical Gases and Anesthetizing Areas

Type:

Fire Safety

Category:

Medical Gases and Anesthetizing Areas

Issue:

no-smoking signs where oxygen is used.

Found Via:

Survey

Scope:

Pattern

Level of Harm:

Potential for minimal harm

Date Found:

04/19/2006

Date Fixed:

04/19/2006

04/19/2006 - Electrical

Type:

Fire Safety

Category:

Electrical

Issue:

weekly inspections and monthly testing of generators.

Found Via:

Survey

Scope:

Widespread

Level of Harm:

Potential for minimal harm

Date Found:

04/19/2006

Date Fixed:

07/04/2006

04/19/2006 - Electrical

Type:

Fire Safety

Category:

Electrical

Issue:

a separate and independent backup electrical power source.

Found Via:

Survey

Scope:

Widespread

Level of Harm:

Minimal harm or potential for actual harm

Date Found:

04/19/2006

Date Fixed:

06/16/2006

04/19/2006 - Electrical

Type:

Fire Safety

Category:

Electrical

Issue:

properly installed electrical wiring and equipment.

Found Via:

Survey

Scope:

Pattern

Level of Harm:

Minimal harm or potential for actual harm

Date Found:

04/19/2006

Date Fixed:

07/10/2006

04/19/2006 - Corridor Walls and Doors

Type:

Fire Safety

Category:

Corridor Walls and Doors

Issue:

corridor and hallway doors that block smoke.

Found Via:

Survey

Scope:

Pattern

Level of Harm:

Minimal harm or potential for actual harm

Date Found:

04/19/2006

Date Fixed:

07/10/2006

04/19/2006 - Exits and Egress

Type:

Fire Safety

Category:

Exits and Egress

Issue:

resident room doors of proper design and width.

Found Via:

Survey

Scope:

Isolated

Level of Harm:

Minimal harm or potential for actual harm

Date Found:

04/19/2006

Date Fixed:

04/25/2006

04/19/2006 - Emergency Plans and Fire Drills

Type:

Fire Safety

Category:

Emergency Plans and Fire Drills

Issue:

record of quarterly fire drills for each shift under varying conditions.

Found Via:

Survey

Scope:

Widespread

Level of Harm:

Minimal harm or potential for actual harm

Date Found:

04/19/2006

Date Fixed:

05/12/2006

04/19/2006 - Building Service Equipment

Type:

Fire Safety

Category:

Building Service Equipment

Issue:

properly protected cooking facilities.

Found Via:

Survey

Scope:

Pattern

Level of Harm:

Potential for minimal harm

Date Found:

04/19/2006

Date Fixed:

05/10/2006

06/08/2005 - Pharmacy Service

Type:

Health

Category:

Pharmacy Service

Issue:

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.

Found Via:

Complaint

Scope:

Pattern

Level of Harm:

Minimal harm or potential for actual harm

Date Found:

06/08/2005

Date Fixed:

07/26/2005

06/08/2005 - Pharmacy Service

Type:

Health

Category:

Pharmacy Service

Issue:

Make sure that residents are safe from serious medication errors.

Found Via:

Complaint

Scope:

Isolated

Level of Harm:

Minimal harm or potential for actual harm

Date Found:

06/08/2005

Date Fixed:

07/26/2005

06/08/2005 - Quality Care

Type:

Health

Category:

Quality Care

Issue:

Give professional services that meet a professional standard of quality.

Found Via:

Complaint

Scope:

Pattern

Level of Harm:

Minimal harm or potential for actual harm

Date Found:

06/08/2005

Date Fixed:

09/30/2005

10/06/2004 - Fire Alarm Systems

Type:

Fire Safety

Category:

Fire Alarm Systems

Issue:

properly maintained smoke detectors.

Found Via:

Survey

Scope:

Widespread

Level of Harm:

Potential for minimal harm

Date Found:

10/06/2004

Date Fixed:

11/15/2004

10/06/2004 - Resident Rights

Type:

Health

Category:

Resident Rights

Issue:

Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.

Found Via:

Survey

Scope:

Isolated

Level of Harm:

Minimal harm or potential for actual harm

Date Found:

10/06/2004

Date Fixed:

12/09/2004

10/06/2004 - Resident Rights

Type:

Health

Category:

Resident Rights

Issue:

Keep each resident's personal and medical records private and confidential.

Found Via:

Survey

Scope:

Isolated

Level of Harm:

Minimal harm or potential for actual harm

Date Found:

10/06/2004

Date Fixed:

12/09/2004

10/06/2004 - Resident Rights

Type:

Health

Category:

Resident Rights

Issue:

Send and promptly deliver unopened mail to residents.

Found Via:

Survey

Scope:

Widespread

Level of Harm:

Minimal harm or potential for actual harm

Date Found:

10/06/2004

Date Fixed:

12/09/2004

10/06/2004 - Mistreatment

Type:

Health

Category:

Mistreatment

Issue:

1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

Found Via:

Survey

Scope:

Pattern

Level of Harm:

Minimal harm or potential for actual harm

Date Found:

10/06/2004

Date Fixed:

12/09/2004

10/06/2004 - Resident Rights

Type:

Health

Category:

Resident Rights

Issue:

Provide services to meet the needs and preferences of each resident.

Found Via:

Survey

Scope:

Pattern

Level of Harm:

Minimal harm or potential for actual harm

Date Found:

10/06/2004

Date Fixed:

12/09/2004

10/06/2004 - Environmental

Type:

Health

Category:

Environmental

Issue:

Keep temperature levels comfortable and safe.

Found Via:

Survey

Scope:

Pattern

Level of Harm:

Potential for minimal harm

Date Found:

10/06/2004

Date Fixed:

12/09/2004

10/06/2004 - Resident Assessment

Type:

Health

Category:

Resident Assessment

Issue:

Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.

Found Via:

Survey

Scope:

Pattern

Level of Harm:

Minimal harm or potential for actual harm

Date Found:

10/06/2004

Date Fixed:

12/09/2004

10/06/2004 - Quality Care

Type:

Health

Category:

Quality Care

Issue:

Give professional services that meet a professional standard of quality.

Found Via:

Survey

Scope:

Pattern

Level of Harm:

Minimal harm or potential for actual harm

Date Found:

10/06/2004

Date Fixed:

12/09/2004

10/06/2004 - Quality Care

Type:

Health

Category:

Quality Care

Issue:

Give each resident care and services to get or keep the highest quality of life possible.

Found Via:

Survey

Scope:

Isolated

Level of Harm:

Actual harm

Date Found:

10/06/2004

Date Fixed:

12/09/2004

10/06/2004 - Quality Care

Type:

Health

Category:

Quality Care

Issue:

Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.

Found Via:

Survey

Scope:

Pattern

Level of Harm:

Potential for minimal harm

Date Found:

10/06/2004

Date Fixed:

12/09/2004

10/06/2004 - Environmental

Type:

Health

Category:

Environmental

Issue:

Make sure that the nursing home area is free of dangers that cause accidents.

Found Via:

Survey

Scope:

Isolated

Level of Harm:

Minimal harm or potential for actual harm

Date Found:

10/06/2004

Date Fixed:

12/09/2004

10/06/2004 - Nutrition and Dietary

Type:

Health

Category:

Nutrition and Dietary

Issue:

Make sure that residents are well nourished.

Found Via:

Survey

Scope:

Widespread

Level of Harm:

Minimal harm or potential for actual harm

Date Found:

10/06/2004

Date Fixed:

12/09/2004

10/06/2004 - Nutrition and Dietary

Type:

Health

Category:

Nutrition and Dietary

Issue:

Offer other nutritional food to each resident who will not eat the food served.

Found Via:

Survey

Scope:

Widespread

Level of Harm:

Minimal harm or potential for actual harm

Date Found:

10/06/2004

Date Fixed:

12/09/2004

10/06/2004 - Nutrition and Dietary

Type:

Health

Category:

Nutrition and Dietary

Issue:

Make sure that the attending doctor orders special diets.

Found Via:

Survey

Scope:

Isolated

Level of Harm:

Minimal harm or potential for actual harm

Date Found:

10/06/2004

Date Fixed:

12/09/2004

10/06/2004 - Nutrition and Dietary

Type:

Health

Category:

Nutrition and Dietary

Issue:

Store, cook, and give out food in a safe and clean way.

Found Via:

Survey

Scope:

Pattern

Level of Harm:

Potential for minimal harm

Date Found:

10/06/2004

Date Fixed:

12/09/2004

10/06/2004 - Pharmacy Service

Type:

Health

Category:

Pharmacy Service

Issue:

Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.

Found Via:

Survey

Scope:

Widespread

Level of Harm:

Minimal harm or potential for actual harm

Date Found:

10/06/2004

Date Fixed:

12/09/2004

10/06/2004 - Pharmacy Service

Type:

Health

Category:

Pharmacy Service

Issue:

At least once a month, have a licensed pharmacist check the drugs that each resident takes.

Found Via:

Survey

Scope:

Widespread

Level of Harm:

Minimal harm or potential for actual harm

Date Found:

10/06/2004

Date Fixed:

12/09/2004

10/06/2004 - Environmental

Type:

Health

Category:

Environmental

Issue:

Make sure that staff members wash their hands when needed.

Found Via:

Survey

Scope:

Pattern

Level of Harm:

Minimal harm or potential for actual harm

Date Found:

10/06/2004

Date Fixed:

12/09/2004

10/06/2004 - Environmental

Type:

Health

Category:

Environmental

Issue:

Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public.

Found Via:

Survey

Scope:

Widespread

Level of Harm:

Minimal harm or potential for actual harm

Date Found:

10/06/2004

Date Fixed:

12/09/2004

10/06/2004 - Environmental

Type:

Health

Category:

Environmental

Issue:

Make sure that the nursing home area is safe, easy to use, clean and comfortable.

Found Via:

Survey

Scope:

Widespread

Level of Harm:

Potential for minimal harm

Date Found:

10/06/2004

Date Fixed:

12/09/2004

10/06/2004 - Environmental

Type:

Health

Category:

Environmental

Issue:

Make sure there is a program to prevent/deal with mice, insects, or other pests.

Found Via:

Survey

Scope:

Widespread

Level of Harm:

Potential for minimal harm

Date Found:

10/06/2004

Date Fixed:

12/09/2004

10/06/2004 - Administration

Type:

Health

Category:

Administration

Issue:

Keep accurate and appropriate medical records.

Found Via:

Survey

Scope:

Pattern

Level of Harm:

Minimal harm or potential for actual harm

Date Found:

10/06/2004

Date Fixed:

12/09/2004

10/06/2004 - Administration

Type:

Health

Category:

Administration

Issue:

Set up or keep a group of people to review and ensure quality.

Found Via:

Survey

Scope:

Widespread

Level of Harm:

Minimal harm or potential for actual harm

Date Found:

10/06/2004

Date Fixed:

12/09/2004

10/06/2004 - Emergency Plans and Fire Drills

Type:

Fire Safety

Category:

Emergency Plans and Fire Drills

Issue:

record of quarterly fire drills for each shift under varying conditions.